National Provider Identifier Database

LOREN C WAKHAM, OD – NPI #1275683104
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

LOREN C WAKHAM, OD
505 E MOCKINGBIRD LN
VICTORIA, TX77904-2043
Phone: 361-578-2904
Fax: 361-578-7931
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for LOREN C WAKHAM

NPI Number 1275683104
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/11/2007
Last updated 03/27/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 3433T
  • TX Medicaid: 037012401
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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